SHANNON TRAVIS FAGAN

BIRMINGHAM, AL
NPI1649537531
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: AL  1100148)
Enumeration Date2012-04-16
Last Update Date2012-04-16
Business Address
-- SHANNON TRAVIS FAGAN CRNP
2000 6TH AVE S
BIRMINGHAM, AL 35233-2110
Phone number: 205-801-8000
Mailing Address
-- SHANNON TRAVIS FAGAN CRNP
PO BOX 55310
BIRMINGHAM, AL 35255-5310
Phone number: 205-731-9701
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